Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

State of Idaho

Organization Family Medicine Physician · NPI 1265558019

State of Idaho provides Family Medicine Physician services in Nampa, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1660 11th Ave N
Nampa, ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1265558019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Broetje — Administrative Director · (208) 442-2812
Other names Dhw Issh Group Physicians
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1660 11th Ave N, Nampa, ID 83687-5000

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